Jurnal Neuroanestesi Indonesia
Vol 6, No 3 (2017)

Angka Morbiditas Pascaoperasi Tulang Belakang akibat Posisi Prone di Rumah Sakit Dr. Hasan Sadikin Bandung Periode November 2015–Desember 2016

Ade Aria Nugraha (Faculty of Medicine Universitas Padjadjaran Bandung Indonesia)
Reza Widianto Sudjud (Faculty of Medicine Universitas Padjadjaran Bandung, Indonesia)
Tatang Bisri (Faculty of Medicine Universitas Padjadjaran Bandung, Indonesia)



Article Info

Publish Date
27 Oct 2017

Abstract

Latar Belakang dan Tujuan: Operasi tulang belakang mengalami peningkatan secara signifikan selama dekade terakhir. Posisi prone dibutuhkan sebagai akses pada operasi tulang belakang melalui pendekatan posterior. Operasi tulang belakang dengan posisi prone memiliki risiko terjadi cedera yang dapat menyebabkan morbiditas serius.Tujuan penelitian ini adalah untuk mengetahui angka morbiditas pascaoperasi tulang belakang dengan posisi prone di Rumah Sakit Dr. Hasan Sadikin Bandung.Subjek dan Metode: Metode penelitian ini adalah deskriptif observasional dengan rancangan potong lintang pada pasien yang dirawat di Rumah Sakit Dr. Hasan Sadikin Bandung dan menjalani operasi tulang belakang dengan posisi prone dari bulan November 2015 sampai dengan bulan Desember 2016.Hasil: Hasil penelitian ini dari 99 subjek penelitian diperoleh 8 kasus (8,1%) cedera penekanan, 1 kasus (1%) cedera mata, dan 1 kasus (1%) cedera pada saraf tepi. Perubahan fisiologi dan efek penekanan akibat posisi prone serta keadaan selama operasi memengaruhi terjadinya morbiditas pada pasien yang menjalani operasi tulang belakang.Simpulan: Kesimpulan dari penelitian ini adalah angka morbiditas pascaoperasi tulang belakang akibat posisi prone di Rumah Sakit Dr. Hasan Sadikin Bandung periode November 2015–Desember 2016 sebanyak 10 kasus (10%).The Incidence of Patient’s Morbidity After Spinal Surgery with Prone Position in Dr. Hasan Sadikin General Hospital During November 2015–December 2016Background and Objective: The rate of spine surgeries has increased significantly over the past decade. Prone position is required as an access to spinal surgery through the posterior approach. Spinal surgery with prone surgery poses a risk of injury that can lead to serious morbidity. The purpose of this study was to determine the number of postoperative morbidity of the spine due to prone position in Dr. Hasan Sadikin Hospital Bandung Subjects and Methods: The methods of this research is descriptive observational with cross sectional design and subjects of this study is patient undergo spine surgery in prone position in Dr. Hasan Sadikin Hospital Bandung period November 2015 ─ December 2016. Results: Results of this study had shown that among 99 subjects, 8 cases (8.1%) were diagnosed with pressure ulcer, 1 case (1%) with eye injury, and 1 case (1%) with peripheral nerve injury. The physiological changes in a prone position, pressure effect and conditions during surgery might lead to morbidity in patients undergoing spinal surgery.Conclusion: The conclusion of this study is the rate of postoperative morbidity of the spine due to prone position in Dr. Hasan Sadikin Hospital Bandung period November 2015–December 2016 as many as 10 cases (10%).

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Journal Info

Abbrev

jni

Publisher

Subject

Biochemistry, Genetics & Molecular Biology Education Medicine & Pharmacology Neuroscience Public Health

Description

Editor of the magazine Journal of Neuroanestesi Indonesia receives neuroscientific articles in the form of research reports, case reports, literature review, either clinically or to the biomolecular level, as well as letters to the editor. Manuscript under consideration that may be uploaded is a ...